Почему болит колено при сгибании, разгибании и ходьбе.
Колено считается самым сложным и большим суставом в человеческом организме, но одновременно с анатомической точкой зрения — очень слабым.
Каждый день коленный сустав подвергается огромной физической нагрузке, и поэтому в нём нередко появляются болевые ощущения.
В суставе колена кости голени соединяются вместе с бедренной костью.
Между собой они скрепляются связками, сухожилиями и мышечной тканью.
Кроме этого их защищают хрящи и мениски, которые также отвечают и за подвижность колена.
Причины болей в колене
К самым известным причинам, которые причиняют боль в колене относятся:
- растяжения связок;
- повреждение и разрывы сухожилий;
- вывихи;
- повреждение мениска и коленного хряща;
- ушиб;
- воспаление около суставных сумок;
- переломы костей.
К самым распространённым травмам, которые могут вызвать боль в суставе, относятся:
- падение на колено;
- неестественное положение колена в течение долгого времени;
- сильнейший удар об твёрдый предмет.
В результате данных травм часто встречаются не только боли в суставе колена при сгибании, но и появляются гематомы, отёк, а также боли при полном отсутствии движения.
При этом в колене появляется ощущение онемения, холода или небольшого покалывания.
- При травме связок возникает очень сильная боль, которая появляется вместе с вынужденным неестественным положением конечности.
Любое движение при этом становиться невозможным. Воспаление сухожилий или их небольшие разрывы в состоянии покоя обычно не болят.
Болевые ощущения возникают при ходьбе вверх по лестнице, во время бега, различных вращений ногой или приседаниях.
К повреждению мениска приводят резкие движения или прыжок.
К такому виду травм больше всего предрасположены люди с избыточным весом и поклонники экстремального вида спорта.
Постоянные перегрузки приводят к таким повреждениям:
- артрит — это воспаление всех составных структур сустава, что приводит сильной боли, к сокращению подвижности или к полной неподвижности.
- бурсит — это развитие воспалительного процесса в синовиальных суставных сумках. Симптомами бурсита являются безболезненность, покраснение и значительный отёк (в результате скопления жидкости).
Болезненность сустава при сгибании могут вызвать патологии, которые напрямую не связаны с перегрузками и с травмами.
Артрит сустава колена является известным заболеванием с 3 ступенями развития.
При первой степени развивается небольшое ограничение движений без отёка, а также появляется незначительная боль в колене, слабое покалывание и хруст.
Дальше появляется быстрая утомляемость, постоянная боль, чувство напряжения в ногах, хруст в колене при движениях и явное деформирование суставов.
О наступлении третьей стадии говорит сильная боль в коленном суставе даже при отсутствии движений.
Лечение такого заболевания медикаментозное с использованием не стероидных препаратов, хондропротекторов, массаж, физиотерапевтические процедуры и гимнастика.
Ревматоидный артрит — это заболевание, которое затягивает в воспалительный процесс большинство суставов организма.
Он развивается симметрично (одновременно в обеих коленях).
Сосудистые заболевания
В результате этого стенки артерии расслаиваются. Для лечения используют только хирургический метод.
Лечение болей в колене
При резких болевых ощущениях, которые не проходят больше недели, а также характерных признаков инфекционного воспаления для колена, необходимо сразу обратиться к врачу.
При своевременной диагностике врач может точно определить причину заболевания и подобрать к нему соответственное лечение.
Консервативный метод:
- фиксирование коленного сустава с помощью эластичного бинта.
- использование холодовых компрессов в течение первых суток (менять их необходимо каждые 25 минут).
Медикаментозное лечение: использование разных обезболивающих препаратов и с противовоспалительным действием.
При боли в колене назначают таблетки, мази, инъекции не стероидными препаратами (Диклофенак, Индометацин и другие).
После окончания острого периода болезни назначают лечебные физические упражнения и физиотерапевтические процедуры.
Физиотерапевт каждому пациенту подбирает индивидуальный метод лечения.
Назначает такие процедуры, как УВЧ, электрофорез, УЗ или фонофорез.
Хирургический метод лечения используют только для лечения самых тяжёлых травм колена.
Например, в случае сильных дегенеративных процессов. Также для устранения повреждения сустава проводят артроскопию.
Этим способом лечат различные повреждения мениска сустава и его связок.
Эндопротезирование используют уже при невосстановимых повреждениях сустава, чтобы избежать инвалидности.
Это процедура замены сустава на аналогичный протез из особенных материалов, и организмом не воспринимается как чужеродное тело.
Чтобы снять боль в колене в домашних условиях для начала надо обеспечить конечности полный покой.
Затем приложить к больному месту кусочек льда (обвёрнутый полотенцем) минут на 20, меняя его через каждые 2 часа.
Лечение болей в колене народными средствами
- залейте 1 столовую ложку цветков бархатца 200 мл кипятка. Пейте настой на протяжении всего дня.
- запарьте в термосе 1 столовую ложечку цветков картошки. Настаивайте их 15 дней, а затем пейте по 100 мл в день.
- на ночь привязывайте к колену свежий лист капусты. Можете также смазывать колено соком капусты.
- прикладывайте к больному месту кусочек свиного сала (до полного исчезновения боли).
- вазелин соедините вместе с цветками зверобоя, донника и шишками хмеля. Приготовленную мазь тщательно втирайте в больное место.
- растопите на паровой бане барсучий жир и добавьте к нему мёд. Тщательно втирайте в область больного колена.
- пихтовое масло соедините вместе с маслом донника. Затем втирайте в больное колено эту смесь.
Вызвать боль в колене могут разные заболевания. Если наблюдается боль при сгибании и разгибании, необходимо обратиться к доктору. По результатам первичного осмотра врач назначит лабораторную и инструментальную диагностику, которая поможет определить способ и стратегию лечения.
Особенности лечения
Лечение боли в колене комплексное и длится продолжительное время:
- По необходимости прописывается трость или костыли для поддержания и снижения нагрузки на суставы. Нужно уменьшить нагрузки, вплоть до поддержания состояния покоя. При сильной боли колено следует неподвижно зафиксировать повязкой.
- Для стабилизации колена требуется ношение повязки или бандажа.
- Для улучшения циркуляции крови применяют разогревающие мази, кремы и горячие компрессы.
- Прописываются нестероидные противовоспалительные и обезболивающие препараты.
- Нужно соблюдать специальную диету, если боль вызвана чрезмерным весом и неправильным питанием.
- Доктор может назначить комплекс лечебных упражнений. Регулярное и правильное их выполнение дает положительный результат.
- Если результаты анализов покажут наличие инфекции, будет назначен прием антибиотиков.
- Для восстановления хрящевой ткани нужно принимать хондропротекторы.
Все это поможет только при своевременном обращении за медицинской помощью.
К какому врачу обратиться
Если болит колено при сгибании и разгибании, то нужно пойти к травматологу-ортопеду или хирургу. Они определят дальнейшее лечение. При постоянной боли поможет врач-ревматолог.
Экстренная помощь при боли в колене
Болит колено при сгибании и разгибании – лечение обязательно. Но если возникают проблемы с коленом, нужно уметь оказать и первую помощь.
Существует несколько вариантов экстренной помощи:
- К коленному суставу следует приложить лед. Делать ледяной компресс нужно через полотенце, чтобы не обморозить ткани. Его держат около 20 минут.
- Можно поводить кубиком льда по колену, это помогает при постоянных болях при движении сустава.
- При сильной боли нужно принять обезболивающий препарат (Аспирин, Ибупрофен, Ацетаминофен или Напроксен).
- Ослабить хроническую боль помогут ортопедические стельки.
Сбив сильную боль, нужно сразу обратиться к квалифицированному специалисту.
Диагностика
Причин возникновения боли в колене множество. Поэтому врач проводит комплексное обследование больного. Сначала проводится первичный осмотр. Изучается история заболеваний и жалобы больного. Доктор задает вопросы, касающиеся стиля жизни, физических нагрузок, рациона, полученных травм и повреждений опорно-двигательной системы пациента.
Колено проявляется на чувствительность, функциональные возможности, диапазон движения сустава, наличие воспаления и опухолей.
Точную причину можно узнать только после комплексной лабораторной и инструментальной диагностики:
- общий анализ крови (повышенное СОЭ, увеличение уровня мочевой кислоты, анемия и лейкоз помогут определить воспаление в коленном суставе);
- изучение рентгеновских снимков;
- из воспаленного сустава берется материал для исследования (гной, выпота);
- диагностика артроскопическим методом;
- для получения информации о содержании кальция в костной ткани, проводится денситометрия;
- ультразвуковое исследование пораженного сустава;
- изучение результатов МРТ.
Заболевания и их лечение
Артрит
Признаки:
- в неподвижном положении чувствуется сильная или подергивающая боль, особенно в ночное время;
- сустав отекает и опухает;
- кожа вокруг сустава краснеет;
- повышается температура вплоть до 40С в зоне пораженного сустава;
- связанность движения, небольшой диапазон движения сустава;
- наблюдается общая слабость и потеря в весе.
Лечение: лечение артрита заключается в снятии воспалительного процесса, устранении причин артрита и избавлении от болевых ощущений. Для этого понадобится продолжительное и регулярное комплексное лечение.
Исходя из типа артрита и его стадии, используется классическая схема лечения:
- приписываются нестероидные противовоспалительные средства. Их вводят инъекциями внутривенно, внутримышечно или непосредственно в пораженный сустав. Дополнительно применяются мази;
- вводятся инъекции в сустав гормональных противовоспалительных препаратов (глюкокортикостероидов);
- применяются антидепресанты (если стресс является причиной болезни);
- употребляются миорелаксанты для устранения спазма в мышцах;
- применяются хондропротекторы, витамины (А, Е, С, В1, В3, В6, В12), микроэлементы и аминокислоты;
- используются ортопедические стельки, ортезы, и бандажи;
- садятся на специальную диету;
- применяется мануальная терапия и лечебная физическая культура;
- проводятся курсы физиотерапии.
Артроз
Признаки:
- наблюдается боль при первых шагах после покоя, особенно утром;
- чувствуется боль при подъеме по лестнице и при нагрузках. После непродолжительного движения боль исчезает;
- чувствуется хруст и хроническая сильная боль при каждом движении в пораженном колене;
- уменьшается диапазон движения;
- визуально наблюдается опухлость и деформация сустава;
- на поздних стадиях боль становится невыносимой, движение практически невозможно, колено увеличивается в размерах.
Артроз является одной из наиболее распространенных причин, почему болит колено при сгибании и разгибании.
Исходя из стадии и сложности болезни, существует несколько способов лечения:
- практически полностью исключается нагрузка на коленные суставы;
- приписывается терапия медицинскими препаратами;
- применяется мануальная терапия и массаж;
- проводится оперативное вмешательство;
- назначается физиотерапия, ЛФК и другие методы лечения, направленные на восстановление сустава.
Бурсит
Признаки:
- чувствуется хруст и боль при движении колена;
- внутри синовиальной сумки собирается много жидкости, поэтому заметен большой отек, опухлость и покраснение колена;
- наблюдается общая слабость и тошнота;
- увеличиваются лимфоузлы;
- из-за воспаления температура тела повышается до 40°С.
Лечение:
- лечение медикаментозными препаратами;
- применение мануальной терапии;
- физиотерапия и ЛФК;
- использование мазей;
- хирургическое вмешательство применяется при сложных и запущенных формах болезни (пункция и артротомия);
- народные методы, включающие в себя использование настоек и отваров.
Хирургическое вмешательство
Если болит колено при сгибании и разгибании, лечение посредством хирургического вмешательства остается единственным вариантом устранения боли и возвращения в нормальную работу коленного сустава. Существует два основных метода оперативного вмешательства: эндопротезирование и артроскопия.
Эндопротезирование
Операция, цель которой полная или частичная замена поврежденного сустава на искусственные имплантаты. Эндопротезирование иногда является единственным способом вернуть человеку прежнюю жизнь без скованности и болей при движении.
Эндопротезирование может проводить только опытный хирург, поскольку это технически сложная и ответственная операция. Если у пациента частично поврежден сустав, то проводиться однополюсное протезирование: замещаются на имплантаты только поврежденные участки. Тотальное (полное) эндопротезирование проводится при полном замещении коленного сустава на искусственный.
Хирург-ортопед в ходе операции удаляет пораженные участки костной и хрящевой ткани и заменяет их компонентами эндопротеза. Успешная операция и правильное фиксирование протеза гарантирует человеку около 20 лет жизни без проблем при движении.
Показания к проведению эндопротезирования:
- ревматоидный полиартрит;
- гонартроз и посттравматические артрозы;
- неправильное срастание перелома сустава;
- выраженное изменение поверхности костей сустава в результате повреждения связочного суставного аппарата;
- некроз (асептический или аваскулярный);
- костные опухоли;
- дисплазия сустава.
Артроскопия
Операция подразумевает внутреннее исследование и лечение сустава путем ввода артроскопа.
Врач делает анестезию, исходя из сложности заболевания и индивидуального самочувствия пациента, затем совершает разрез в зоне сустава 4-6 мм для ввода артроскопа (миниатюрной камеры). Артроскоп дает возможность полностью изучить внутреннее состояние сустава и выявить патологию.
По необходимости, хирург делает дополнительные микроразрезы и вводит артроскопические инструменты для хирургических манипуляций. После избавления от патологии из сустава откачивается лишняя жидкость, разрезы обрабатываются антисептиками и наносится повязка.
Плюсом такой операции является минимальная хирургическая инвазия. После операции травматические повреждения сводятся к нулю. Поэтому после вмешательства наблюдается короткий реабилитационный период и быстрое восстановление.
Показания к проведению артроскопии:
- артриты и артрозы;
- травмы и повреждения;
- разрыв связок колена;
- постоянные воспалительные процессы в суставе;
- повреждение мениска;
- посторонние тела и лишняя жидкость в суставе;
- спайка и наросты;
- вывих надколенника.
Медикаментозная терапия
Консервативное лечение подразумевает использование медикаментозной терапии. Она предназначена для снижения болевых ощущений или полного избавления от них, восстановления поврежденной хрящевой ткани, избавления от воспалительных процессов, ускорения восстановления и заживления после повреждений, избавления от патологий и снижения проявлений заболеваний.
Для медикаментозного лечения боли в колене при сгибании и разгибании используются следующие виды лекарств:
- Негормональные противовоспалительные средства (НПС). Применяются для снятия отеков, воспаления и боли. Лекарства представлены в виде мази, геля, таблеток, крема и инъекций. В терапии чаще всего используют Диклофенак, Ортофен и Ибупрофен.
- Базисные противовоспалительные препараты (БПВП). Препараты применяют инъекционно. Они препятствуют разрушению сустава и стимулируют процессы регенерации и восстановления. Представители этой группы лекарств: Циклоспорин, Метотрексат и Азатиоприн.
- Средства против подагры. Они подавляют процессы образования мочевой кислоты и помогают ее выведению, препятствуют образованию подагрического артрита. Приписываются Колхицин и Аллопуринол – принимаются перорально.
- Хондропротекторы. Препараты предназначены для торможения поражения хрящевой ткани. Они стимулируют питание, тем самым вызывают регенерацию сустава. В основном приписываются Хондроитин сульфат, Глюкозамин и Гиалуроновая кислота. Хондропротекторы принимаются перорально, а также вводятся инъекционно в мышцы и суставы.
- Кортикостероиды. Препараты вводятся непосредственно в сустав. Они обладают противовоспалительными свойствами и приписываются при тяжелом течении заболевания.
- Витаминно-минеральные комплексы. Препараты принимаются перорально. Основная задача – нормализовать костную и хрящевую ткань.
Если медикаментозная терапия не дала положительных результатов, не наблюдаются сдвиги в сторону восстановления хрящевой ткани, то назначается хирургическое вмешательство.
Физиотерапия
Физиотерапия предназначена для снятия симптомов воспалительных процессов, улучшения притока крови и процессов обмена в пораженном участке. Это улучшает состояние суставов и стимулирует восстановительный период после лечения.
Обычно прописываются следующие процедуры:
- ультравысокочастотная терапия (УВЧ-терапия);
- магнитотерапия;
- бальнеотерапия;
- электрофорез с использованием лекарственных препаратов;
- парафинотерапия;
- травяные ванночки.
Для наилучшего результата врач подбирает комплекс терапии индивидуально.
Лечебная гимнастика
После лечения и физиотерапии назначается лечебная гимнастика. Доктор индивидуально подбирает комплекс лечебных упражнений для каждого пациенту. Перед тем как выполнять их в домашних условиях, врач обучает пациента, а при болевых ощущениях меняет упражнения.
Если в процессе выполнения боль усиливается, то гимнастика прекращается. Продолжать ее можно только после осмотра у доктора. Задача лечебной гимнастики снизить проявления заболевания и практически полностью восстановить движение суставов в короткий период.
Бандаж для коленного сустава
В период реабилитации прописывается ношение бандажа (ортеза). Это ортопедический наколенник, фиксирующий и удерживающий коленный сустав в естественном анатомическом положении.
После осмотра доктор может приписать ортез для восстановления после разрыва или растяжения связок, в период послеоперационного восстановления. Он значительно сокращает период реабилитации после длительного лечения.
Диета при боли в коленях
Если болит колено при сгибании и разгибании, лечение должно сопровождаться определенной диетой. Рекомендовано включить в питание много кисломолочных продуктов, творог, сыр и другие продукты, богатые кальцием.
Для улучшения состояния хрящевой ткани рекомендовано употреблять рыбу, морепродукты, овощи в сыром и тушеном виде, фрукты и другие продукты, богатые витаминами и минералами.
Для противовоспалительного действия и для восстановления хрящей рекомендовано употреблять в пищу продукты, содержащие витамин C: капусту, лимоны, апельсины, лук и киви. Для нормального водно-электролитного баланса нужно выпивать около 2 литров воды, а также рекомендовано пить натуральные соки и морсы.
Нужно снизить количество или полностью исключить из рациона жирное мясо, мучные продукты и пряности. Рекомендовано практически исключить прием поваренной соли. После консультации у специалиста пациенту индивидуально подберут необходимую диету.
Народные средства
Народные средства не могут вылечить болезнь, однако им под силу уменьшить боль, воспаление, отеки и припухлость. Они могут послужить первой помощью при боли в колене и облегчить ход самой болезни.
- Отличное согревающее свойство имеет компресс из свиного сала.
- Желтая глина содержит много минералов, которые проникают в нездоровый сустав и облегчают боль.
- Для устранения постоянной сильной боли можно использовать компресс из настойки цветков одуванчика, каштана и синей сирени.
- Для согревания можно использовать мазь, приготовленную из меда и горчицы.
- Для укрепляющего и противовоспалительного действия внутрь принимаются настои из корней хрена, а также из лавровых листьев.
- Для снятия опухлости можно втирать в пораженное место настойку из мухоморов.
В медицине применяют самые разные средства, которые помогут в лечении и подавлении симптомов боли в колене при сгибании и разгибании. Можно самостоятельно подобрать средство, которое значительно облегчит ход болезни. Но даже перед использованием народных средств, нужно проконсультироваться с врачом, чтобы не навредить себе.
Видео о боли в колене, причинах ее возникновения, симптомах и методах лечения
Основные причины болей в коленном суставе и лечение:
Упражнения при болях в колене:
Болезненные ощущения в коленном сочленении – удел не только пожилых людей. Такие проблемы могут быть и у молодых, и у подростков. Если болит коленный сустав при ходьбе и сгибании, причиной этому могут быть дегенеративные изменения в нем, воспалительные процессы или травма. Чтобы выяснить, почему возникла боль, требуется инструментальная диагностика. Но предположить начало того или иного недуга можно и по характерным симптомам.
Особенности коленного сустава
Коленное сочленение – сложный и уникальный механизм. Это важный узел, где мускулы, связки, сухожильные волокна соединяют кости голени и бедра. Когда человек ходит, бегает или приседает, сустав испытывает максимальные нагрузки. Несмотря на свою хрупкость, он способен продержаться довольно долго. Но при регулярном воздействии неблагоприятных факторов связки, хрящи, мягкие и костные ткани постепенно деградируют. О начале разрушающих процессов говорит дискомфорт во время ходьбы и сгибания.
Почему болит колено при сгибании и ходьбе
Наиболее частыми причинами болезненных ощущений такого рода являются дегенеративные и воспалительные недуги.
Артриты
Воспалительные заболевания ткани сустава приводят к деформации хрящевых тканей с накоплением в полости сустава экссудата. Наиболее часто регистрируют реактивный артрит, возникающий после травм или на фоне переохлаждения.
Также существуют ревматоидный и подагрический артриты. Первый обычно проявляется вследствие ослабленной иммунной защиты, а второй в результате метаболических нарушений.
Каждый тип артрита практически не заметен на первой стадии, но без лечения приводит к неосуществимости сгибания либо разгибания конечности из-за мучительной боли. Подагрический тип также выдает появление узлов, внутри которых скапливается мочевая кислота.
Артроз
Болезнь – результат истирания сустава на фоне дегенеративного истощения хрящевой ткани. Когда артроз только начинается, тянущая боль возникает при приседании либо ходьбе. Через какое-то время, суставы начинают болеть очень сильно, колени жутко хрустят, неприятные ощущения усиливаются и становятся постоянными, что мешает полноценному передвижению, сгибанию и разгибанию ног. У человека меняется походка, начинаются проблемы с координацией движений, что заметно со стороны.
Бурсит
Воспаление суставной сумки при любом движении порождает острые болевые ощущения. Сустав краснеет, выглядит опухшим и очень горячий на ощупь.
Киста Бейкера
Опухоль в подколенной ямке наполнена синовиальной жидкостью. Основные симптомы недуга – боль во время движения, отек во впадине под коленным суставом. Возникает вследствие возрастных изменений либо после травмы.
Боль в колене при сгибании
Есть недуги, которые особенно ярко проявляются, когда человек сгибает ногу в колене, садится, приседает или поднимается по лестнице.
Травмы
Распространенным фактором проявления болевых ощущений в коленных суставах при сгибании считаются повреждения:
- травмы мениска;
- разрыв капсулы;
- ушибы;
- перелом костей внутри сустава;
- растяжения и разрывы связок;
- сдвиг надколенника.
Боль при сгибании при травмировании сустава может быть нестерпимой, а в серьезных случаях колено блокируется.
Болезнь Осгуда-Шлаттера
Нередко встречается у старшеклассников, которые занимаются спортом. Основные признаки: болевые ощущения при сгибании конечности и движении по лестнице, опухание колена спереди.
Ишиас
Недуг возникает вследствие долгой гипотермии, травм, грыжи, сосудистых патологий. Кроме того ишиас проявляется на фоне переутомления нижних конечностей, например длительного сидения на корточках. При продолжительном пребывании в таком положении у человека происходит деградация суставных хрящей, что способствует появлению артрозов. Болевые ощущения возникают при сгибании ноги в тазобедренном и коленном суставах.
Подагра
Отложение солей мочевой кислоты – причина боли и припухлости колена. Характерный симптом подагры – обострение болевых ощущений ночью и утром, а также при сгибании конечности. Приступы часто повторяющиеся, продолжительностью от нескольких минут до нескольких суток.
Болезнь Кенинга
Заболевание характеризуется отделением от сустава обломка хряща с дальнейшей некротизацией и воспалением синовиальной оболочки.
При отслоении раздается хруст, последующее течение недуга проходит в сопровождении мучительных болевых ощущений.
На позднем этапе человек не может перемещаться из-за полной блокировки движений. Больной нуждается в безотлагательной госпитализации с дальнейшим оперативным вмешательством. В противном случае он может стать инвалидом.
Болит колено при ходьбе
Иногда боль в суставе такая, что ходить человек просто не может. Причиной этому также могут быть травматические повреждения и патологии.
Травма мениска
Этот суставный элемент повреждается при занятиях спортом либо вследствие обыкновенного падения. Травму можно получить как на внешнем, так и на внутреннем мениске. Внешне сочленение выглядит отекшим. Небольшое повреждение вызывает дискомфорт при ходьбе. При разрыве возникает резкая боль, а на ногу нельзя встать.
Остиомиелит
Болезнь инфекционной природы с повреждением тканей кости, включая мозг. Вызывает гнойно-некротические процессы, сопровождающиеся не только сильными болями, но и интоксикацией с ростом температуры до крайних показателей. Требует немедленного лечения, поскольку чревата летальным исходом.
Анализы и обследования
Перед тем, как начать лечение, необходим точный диагноз. Для выявления патологии доктора назначают инструментальные и лабораторные исследования. В частности, рентгенографию, исследование ультразвуком, КТ и МРТ, и, обязательно анализ крови и мочи, чтобы подтвердить или опровергнуть развитие воспалительного процесса.
Артроскопия как метод диагностики и лечения
Подобное вмешательство – не просто способ поставить точный диагноз через крошечные разрезы с помощью эндоскопа. Артроскопия – одновременно метод хирургического лечения. С ее помощью возможно:
- иссечь поврежденные ткани;
- удалить поврежденные элементы сустава;
- дезинфицировать суставную полость;
- ввести лекарство.
Этот метод используется для трансплантации эндопротеза.
Лечение боли
Если нога в колене болит мучительно и долго, следует обратиться к участковому терапевту. Он после диагностики подскажет, к какому врачу идти – хирургу, неврологу, артрологу, ортопеду либо ревматологу.
Медикаментозные препараты
Если не упущено время, большая часть суставных заболеваний успешно лечится консервативными методами.
Обезболивающие
При терапии недугов, вызывающих неприятные чувства при сгибании и ходьбе, простых обезболивающих недостаточно. Хотя при невыносимых ощущениях можно принять «Анальгин». Но доктора рекомендуют комбинированные фармсредства, которые не только унимают острую боль, но и тормозят воспалительный процесс. Это могут быть нестероидные препараты:
- Таблетки – «Найз», «Ибупрофен», «Нурофен», «Диклофенак», «Кетопрофен».
- Мази – «Диклофенак», «Кетопрофен», «Индаметацин», «Долгит».
- Гели – «Диклофенак», «Индаметацин», «Фастум», «Артрозилен», «Финалгель», «Долгит».
С разрешения врача применяют согревающие наружные средства – крема и мази – для ускорения кровообращения и улучшения обмена веществ: «Випросал», «Капсикам», «Апизатрон», «Эспол» и бальзам «Звездочка».
При сильных болях и дегенеративных процессах назначают инъекции кортикостероидов в пораженный участок. Эффективны в этом случае «Диспроспан» и «Суспезия гидрокортизона».
Хондропротекторы
Избавиться от дискомфорта и восстановить хрящевую часть сустава помогают хондропротекторы: «Дона», «Диацереин»,«Артрон», «Румалон», «Артра», «Артепарон», «Артро-Актив».
Для улучшения качества синовиальной жидкости врачи прописывают инъекции гиалуроновой кислоты: «Гиалуром CS», «Синокром», «РусВиск», «Ферматрон». Такие медикаменты одновременно снижают болевые ощущения при сгибании и движении.
Оперативное вмешательство в запущенных случаях
Если время все же упущено, многие суставные недуги требуют оперативного вмешательства. Чаще всего применяется щадящая артроскопия. Но есть и другие хирургические методики, к примеру, остеотомия для реструктурирования кости, тенорафия – сшивание порванных сухожилий.
Общие рекомендации
Чтобы снизить нагрузку на нижние конечности, при болезненных ощущениях следует:
- Носить удобную обувь. Дамам придется забыть о каблуках и узких модных туфлях.
- Отказаться от физических нагрузок и поднятия тяжестей в пользу неспешных прогулок по паркам и скверам.
- По возможности при ходьбе опираться на трость.
- Использовать специальные бандажи или эластичные повязки.
Посоветуйтесь с врачом о подходящем курсе лечебной физкультуры, мануальной либо физиотерапии.
Народные методы лечения
В домашних условиях справиться с болью помогают народные средства. Согласно отзывам, лучше всего действуют примочки на основе:
Они совершенно безвредны, но эффективны. Хороши также теплые ванночки с морской солью или целебными травами и аромамаслами.
Диета как способ профилактики боли
При суставных болях требуется изменить рацион. Для каждого недуга разработан свой диетстол, но есть и общие рекомендации. В меню включают:
- жирную рыбу, полиненасыщенные кислоты – они помогают справиться с воспалением изнутри;
- свежую зелень, которая обогатит организм витаминами и поднимет иммунитет;
- куркуму, тормозящую воспалительные процессы и снимающую отечность.
Полезно при суставных недугах устраивать «разгрузочные дни» на свежевыжатых соках. Для их приготовления выбирают морковь, апельсины, помидоры, капусту, сельдерей. Людям с лишним весом нужно обязательно взять эту рекомендацию на заметку.
Самолечение при болях в коленях недопустимо и может привести к тяжелым последствиям. Но это не значит, что нельзя интересоваться различными способами избавления от дискомфорта. О том, что делать при боли в колене и чем лечить его, рассказывает известный доктор Бубновский.
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